Chamber and committees

Betting, gaming and lotteries are generally reserved matters and their regulation is primarily the responsibility of the UK Government. The UK Government regulates gambling through the operation of the Gambling Commission which has responsibility for regulating commercial gambling. The Gambling Commission works in partnership with local licensing authorities to regulate gambling in Scotland.

As such, this is a matter for the Gambling Commission and local licensing authorities (i.e. the 32 Scottish local authorities) and the information requested is not held centrally by the Scottish Government.

I refer the member to the answer to question S6W-29084 on 26 August 2024.The Gambling Commission maintains a national register of premises licences for gambling. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers.

I refer the member to the answer to question S6W-29084 on 26 August 2024. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers.

The topic of Scottish independence was not discussed.

Service innovation and redesign are central to the future of NHS, and the CytoSCOT programme is an excellent example of how innovation in diagnostic services can support patients to access alternatives to traditional endoscopy closer to home, helping to reduce demand on health services.

NHS Scotland’s Centre for Sustainable Delivery (CfSD) continues to support island Health Boards to implement this service, with NHS Orkney and NHS Shetland expected to begin roll out later this year.

The Scottish Government commissioned research to evaluate the current public awareness of Face, Arms, Speech, Time (FAST), stroke symptoms and risk factors, which has now been completed. The results of this research are informing our plans for future work.

Scottish Government, Chest, Heart and Stroke Scotland and Stroke Association all support the continue used of FAST. The current evidence base does not support a move to the use of BE FAST, but we will regularly review this position based on the best available evidence.

The Cabinet Secretary for Health and Social Care asked the Specialty Adviser to the Chief Medical Officer for Stroke to review stroke recognition education for clinical staff. This review has informed the development of an education package, funded by the Scottish Government, to be delivered to staff in GP practices, Emergency Departments and the Scottish Ambulance Service. Although focusing on FAST, this education will also cover the less common presentations of stroke.

The Scottish Government undertook and published an Equality Impacts Assessment and Fairer Scotland Duty Assessment, as part of the amendment regulations made as payment reform. Further detail can be found at:

Supporting documents - NHS dental payment reform: equality impact assessment record - gov.scot (www.gov.scot)

A Health Inequalities Impact Assessment would not ordinarily form part of the policy process in Scottish Government.

Financial support for travel to hospital appointments is available to patients and authorised escorts, according to eligibility criteria and medical requirements. The Scottish Government provides the overall guidance to NHS Boards on reimbursement of patient travel costs and Boards are responsible for setting and applying local policy.

Where travel is necessary, Boards are expected to support patients to identify and access support available, taking account individual circumstances and ensuring patient care is at the centre of all decisions made.

Where a patient is eligible for assistance with travel costs, claims should normally be ratified and reimbursed within 1 to 2 weeks, allowing time for the claim and supporting documentation to be reviewed. Where assistance is required with upfront costs, Health Boards can make bookings on behalf of eligible patients and this should be discussed with the relevant Health Board as part of the overall treatment arrangements.

In January 2024 we implemented a national policy for the reimbursement of electricity costs for home dialysis patients to address inconsistencies across Health Boards where some fully reimburse electricity costs, and others provide partial reimbursement or none at all. Boards are expected to proactively identify eligible patients and ensure electricity costs for eligible patients are reimbursed promptly. A review of implementation is currently underway and a further update will be provided in Autumn 2024.

The Scottish Government is committed to ensuring that all people living in Scotland with long-term conditions including chronic kidney disease, are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and put people at the centre of their care.

Financial support for travel to hospital appointments is available to patients and authorised escorts, according to eligibility criteria and medical requirements. Where travel is necessary, Boards are expected to support patients to identify and access support available, taking account individual circumstances and ensuring patient care is at the centre of all decisions made.

In January 2024 we implemented a national policy for the reimbursement of electricity costs for home dialysis patients to address inconsistencies across Health Boards where some fully reimburse electricity costs, and others provide partial reimbursement or none at all. Boards are expected to proactively identify eligible patients and make reimbursement. A review of implementation is currently underway and a further update will be provided in Autumn 2024.

Recruitment and training of registered mental health professionals is a matter for employers such as NHS boards and Local Authorities. These bodies make informed decisions about recruiting counsellors and psychotherapists or training new mental health practitioners, according to the needs of local service providers and working with relevant professional bodies. The Scottish Government expects employers to apply standards and frameworks which are appropriate to the specialism being recruited for.

In September 2023, we published Mental Health Core Standards, initially applying to adult secondary mental health services. These outline national expectations to boards regarding staffing levels and appropriate skills.